早期康复护理干预在脑血管疾病中的临床应用价值  

Clinical application value of early rehabilitation nursing intervention in cerebrovascular disease

作　　者：王琪娜[1] 纪蓉[1] 阮海玲[1] 郑学军[1] 董利平[1] 武雪亮[1] 

机构地区：[1]河北北方学院附属第一医院神经内科,河北张家口075000

出　　处：《中国医药导报》2015年第35期123-125,131,共4页China Medical Herald

基　　金：河北省卫计委医学科学研究重点课题资助项目(20150478)

摘　　要：目的研究早期康复护理干预在脑血管疾病中的临床应用价值。方法选取2014年6～12月河北北方学院附属第一医院收治的脑血管疾病患者160例。按随机数字表法将其分为实验组和对照组，每组80例。对照组行常规护理，实验组在此基础上进行早期康复护理。分别在人院时、干预4周后对两组患者采用Fugl—Megar值评定其肢体运动功能；应用Barthel指数和功能独立性评定（FIM）评价其日常生活活动能力；参考汉密尔顿抑郁量表评定抑郁等级，记录抑郁发生率。结果经过4周的干预后，实验组和对照组患者Fugl—Megar值、Barthel指数和FIM评分均较人院时显著升高（P〈0．01），且实验组升高程度显著高于对照组（P〈0.01）；治疗期间实验组抑郁发生率为11．25％，明显低于对照组（26．25％），差异有高度统计学意义（P〈0．01）。结论早期康复护理应用于脑血管疾病患者能够明显改善患者肢体运动功能和日常生活活动能力，并降低抑郁发生率，值得推广应用。Objective To study the value of clinical application value of early rehabilitation nursing intervention in cerebrovascular disease. Methods One hundred and sixty cases of patients with cerebrovascular disease admitted to the First Affiliated Hospital of Hebei North University from June to December 2014 were selected and divided into experi- mental group and control group according to random number table, with 80 cases in each group. The control group was given conventional nursing, on basis of which, the experimental group was given early rehabilitation nursing. The extremity motor function of the two groups was measured by Fugl-Megar value on admission and after intervention for 4 weeks; the activities of daily living were measured by Barthel index and functional independence measure （FIM） sys- tem; the depression grades were evaluated by Hamilton depression scale, and the incidence of depression was recorded. Results After intervention for four weeks, the Fugl-Meyer value, the Barthel index and FIM scores were significantly higher than those on admission （P 〈 0.01）, and the increased degree of experimental group was higher than that of control group （P 〈 0.01）; the incidence of depression during the intervention in the experimental group was 11.25%, which was significantly lower than that of control group （26.25%）, the difference was highly statistically significant （P 〈 0.01）. Conclusion The early rehabilitation nursing intervention in patients with cerebrovascular disease can obviously improve the extremity motor function and abilities of daily living, and reduce the incidence of depression, which is worthy of promotion and application.

关 键 词：早期康复护理干预 脑血管疾病 肢体运动功能 日常生活活动能力 

分 类 号：R473.72[医药卫生—护理学] R743.3[医药卫生—临床医学]